Quiz

Weight loss Readiness Quiz

Are you ready to lose weight? Your attitude about weight loss affects your ability to succeed. Take this readiness quiz to learn if you are ready to begin. If so, we can help you. Be honest! It is important that these answers reflect the way you really are, not how you would like to be.
Please answer the following with a true or false:
I have accepted the idea that I need to make permanent, not temporary, changes in my eating and activities to be successful.	TrueFalse Invalid Input
I am thinking of losing weight now because I really want to, not because someone else thinks I should.	TrueFalse Invalid Input
I am willing and able to increase my regular physical activity.	TrueFalse Invalid Input
Please answer the following with a yes or no:
Do you feel basically healthy?	YesNo Invalid Input
Do you have elevated cholesterol or triglyceride levels?	YesNo Invalid Input
Do you eat meat, commercially baked sweets, fried foods, or use vegetable oil daily?	YesNo Invalid Input
Do you regularly include fast food in your diet (three or more times per week)?	YesNo Invalid Input
Are you frequently tired for no reason, especially around 3 p.m.?	YesNo Invalid Input
Do you exercise less than two hours per week?	YesNo Invalid Input
Have you ever been exposed to heavy metals or toxic chemicals such as cleaners or solvents at home or at work?	YesNo Invalid Input
Do you have fewer than two bowel movements daily?	YesNo Invalid Input
Do you lack willpower and hate to diet?	YesNo Invalid Input
Please check the appropriate boxes below:
How hungry are you at dinnertime? I\'m starving. My appetite is no different at dinner than any other time of the day. I\'m hungry. Invalid Input
I can take them or leave them. I need moderate amounts. I crave lots of starch. Invalid Input
How physically active are you in your everyday activities (not including exercise activities)? Sedentary Moderately active Very active. I\'m always on the go. Invalid Input
I think my metabolism is: Invalid Input
I consider myself someone who eats: About the same as other people More than other people Less than other people Invalid Input
Please fill in the blanks for the following questions:
How much weight do you want to lose? Invalid Input
What is your name? (*) Invalid Input
What is your e-mail address (so we may e-mail your results to you)? (*) Invalid Input
What is your phone number? (*) Invalid Input
What is the best time to contact you? am - pm
How did you find us? *
Refresh Invalid Input

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